Which of the following principle guides nurses' priorities at a disaster caused by a collapsed building in an earthquake?

Correct Answer: A

Rationale: In disaster triage, controlling hemorrhage is prioritized as it's a leading preventable death cause, saving the most lives quickly (e.g., applying tourniquets). Minimal care patients are delayed per reverse triage, head injuries vary in urgency, and age-based priority (children) isn't standard. Nurses focus on rapid, life-saving interventions, maximizing survival rates in chaotic settings with limited resources.

Correct Answer: C

Rationale: The assessment phase of the nursing process is designed to establish a comprehensive database about the patient, gathering subjective and objective data like symptoms, vital signs, and health history to inform subsequent steps. This foundational role ensures nurses understand the patient's condition fully before diagnosing or planning care. Implementing doctors' orders occurs in the implementation phase, not assessment, which precedes action. Complying with nursing requirements is a procedural concern, not the purpose of assessment, which focuses on patient needs, not regulatory checklists. Ensuring nursing instructions are followed relates to evaluation or implementation, not data collection. By creating a detailed patient profile, assessment enables nurses to identify problems, set goals, and tailor interventions, making it the critical starting point for effective, individualized care in the nursing process.

Correct Answer: A

Rationale: Collaborative interventions involve multiple healthcare professionals like nurses, physicians, therapists working together, leveraging diverse expertise for complex care (e.g., post-surgical rehab with PT, RN, and MD input). Client and doctor interventions exclude nurses, ignoring their role in teamwork. Physician and nurse interventions limit scope to two roles, missing broader collaboration (e.g., dietitians). Nurse, client, and administrators blend care with management, but administrators don't deliver therapy. Multiple professionals reflect real-world practice e.g., managing diabetes with endocrinologists, nurses, and educators ensuring holistic, coordinated care, making this the most accurate depiction of collaborative efforts in nursing.

Correct Answer: D

Rationale: Lowering the enema fluid container slows the flow, reducing pressure and easing abdominal cramping during a cleansing enema a common reaction to rapid fluid entry. This adjusts infusion rate, allowing tolerance without stopping, preserving the procedure's goal (e.g., bowel prep). Holding breath briefly distracts but doesn't address flow, risking persistence. Discontinuing stops the process, premature unless severe (e.g., unrelieved pain), losing efficacy. Reminding about cramping educates but doesn't relieve it action is needed. Lowering the container, per nursing standards, balances comfort and completion, making it the appropriate, patient-centered intervention here.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.